Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $676.08 / $977.24	Facility		$158.49	$676.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $251.19	Professional		$158.49	$177.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $524.81	Professional		$338.84	$416.87	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $457.09	Facility		$162.18	$251.19	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $295.12	Professional		$158.49	$181.97	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $173.78	Facility		$134.90	$158.49	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $398.11	Facility		$158.49	$251.19	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $371.54	Professional		$79.43	$165.96	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,380.38	Facility		$870.96	$1,148.15	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $512.86	Professional		$309.03	$389.05	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,621.81	Facility		$1,000.00	$1,230.27	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $512.86	Professional		$229.09	$363.08	$512.86